Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberley F Gangwish, PA

Individual provider Surgical Physician Assistant · NPI 1598768046

Kimberley F Gangwish, PA is a Physician Assistant in Grand Island, Nebraska. Qualified in 1988, 38 years ago. Practices with Premise Health of Nevada Medical Hinitt P C, a 13-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
38
Licensed in
NE
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

620 N Diers Ave Ste 200
Grand Island, NE 68803-4984
Phone: (308) 384-5400
Fax: (308) 384-5201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 427 (NE)

Record details

NPI number1598768046
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 28, 2005
Last updated in NPPESOctober 2, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Premise Health Of Nevada Medical Hinitt P C — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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